Title Case report: Late onset type 3 hemiplegic migraine with permanent neurologic sequelae after attacks /
Authors Jokubaitis, Mantas ; Lengvenis, Givi ; Burnytė, Birutė ; Audronytė, Eglė ; Ryliškienė, Kristina
DOI 10.3389/fneur.2024.1359994
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Is Part of Frontiers in neurology.. Lausanne : Frontiers Media SA. 2024, vol. 15, p. [1-5].. eISSN 1664-2295
Keywords [eng] brain atrophy ; headache ; hemiplegic migraine ; permanent deficits ; SCN1A
Abstract [eng] This case study describes a 57-year-old woman with a six-year history of recurrent episodes characterized by visual, sensory, speech disturbances, hemiparesis and severe one-sided headaches accompanied by fever and altered consciousness. Initially misdiagnosed as a stroke, the atypical disease course and MRI findings led to additional genetic testing which revealed a sodium voltage-gated channel gene mutation (T1174S), confirming a diagnosis of sporadic hemiplegic migraine. The migraine prophylaxis showed some improvement in episode frequency and severity. Despite an initial improvement, the patient underwent severe cognitive decline and developed new permanent neurological symptoms during the subsequent 7 years of follow-up.
Published Lausanne : Frontiers Media SA
Type Journal article
Language English
Publication date 2024
CC license CC license description